Permissions! Clinic Staff must have Administrator, Billing Manager, Billing Assistant, or Operations Manager Permissions assigned in order to manage 835 Postings.
Fusion Enterprise understands that billing is a critical function of any practice. As such, we have ensured that you can run all of your practices billing through Fusion Enterprise and make it as easy as we can. This series of introductory articles will cover the important aspects of managing 835 Postings with Fusion Enterprise.
Loading a File
The first step in processing the 835 file is getting the file into the system. The 835 Remittance File Handling area is where this occurs.
To load an 835 file(s), press the button next to the Load an 835 Remittance File, and an open file dialog will appear. You may only load one file at a time. Since some carriers are not providing unique information in the ISA header, a right-click menu is available from this button that allows you to Force Load a file. This will allow you to load a file even though a file with matching ISA Control Number, ISA Sender ID, and ISA Date has already been loaded.
There are two other options in this section. The second one is View an 835 Remittance File as EOB. This allows you to load in the 835 File and preview it, or print it if needed, without loading it into the database. This is simply a viewer for 835 Files.
The last option, Repair an 835 Remittance File, enables you to select a file, and Fusion Enterprise will attempt to repair that file. After the file is repaired, Fusion Enterprise will resave the file to the same directory in which it was loaded. This enables you to repair a file that was not formatted correctly by the insurance carrier and failed to load during the Load an 835 Remittance File function. While the 835 File specification is widely available and most carriers follow the rules, not all of them do. We attempt to compensate for these errors with the repair feature.
Once a file has been loaded, it will appear on the grid on the right half of the screen.